No office rate
27280 is for sacroiliac joint arthrodesis; 27282 is for fusion of the pubic symphysis. Identify the joint treated in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
27282 Pubic fusion Medicare reimbursement rates in Kentucky
Reports operative fusion of the pubic symphysis, typically for painful instability or nonunion requiring definitive stabilization. Compare 27282 office and facility rates across CMS payment localities in Kentucky.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27282 in Kentucky?
Kentucky has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$759.09
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 27282: Pubic symphysis arthrodesis
Reports operative fusion of the pubic symphysis, typically for painful instability or nonunion requiring definitive stabilization.
An orthopedic surgeon prepares the opposing surfaces of the pubic symphysis and stabilizes the joint to promote fusion. The operation is generally performed in an operating room for persistent painful instability, symphyseal disruption, or nonunion when fusion is selected as treatment. Bone graft or fixation may be used as part of the operative technique.
Report this code for arthrodesis of the pubic symphysis, not for treatment limited to reduction or fixation without fusion. The operative report should identify the symphyseal condition, the decision to fuse, and the work performed to prepare and stabilize the joint. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27282
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.55 · 48%
- Practice expense (office) RVU10.03 · 42%
- Malpractice RVU2.47 · 10%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
27282 compared with similar codes
Office rates for Kentucky, from the same CMS release.
27284
No office rateHip fusion
27284 describes hip joint arthrodesis, not pubic symphysis fusion. The anatomical joint fused determines which code applies.
27299
No office rateUnlisted px pelvis/hip joint
Use 27282 when the service is pubic symphysis arthrodesis. Consider 27299 only when the performed pelvis or hip procedure lacks a specific code.
Compare 27282 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kentucky →
Office / nonfacility
Unavailable
Facility
$759.09
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27282 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,822
- Code
- 27282
- Physician work
- 11.55
- Practice expense
- 10.03
- Malpractice
- 2.47
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.55 | × 1.000 | 11.5500 |
| Practice expense | 10.03 | × 0.889 | 8.9167 |
| Malpractice | 2.47 | × 0.915 | 2.2601 |
| Total RVUs | 22.7267 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$759.09
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.55 | 1 |
| Practice expense | 10.03 | 0.889 |
| Malpractice | 2.47 | 0.915 |
(11.55 × 1 + 10.03 × 0.889 + 2.47 × 0.915) × $33.4009 = $759.09
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27282 billing questions
How is this different from pubic symphysis fixation without fusion?
Use 27282 when the surgeon performs arthrodesis of the symphysis. A procedure limited to reduction or stabilization without an intended fusion is not described by this code.
When would 27280 be reported instead?
27280 describes arthrodesis of the sacroiliac joint. This code is for fusion of the pubic symphysis; the operative site determines the choice.
Can modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,81927278,,Arthrd si jt plmt iartic dev,A,,7.66,403.30,,4.64,,0.85,411.81,13.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82027279,,Arthrd si jt plmt tartclr dv,A,,11.83,8.26,NA,8.26,,2.62,22.71,22.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82127280,,Arthr si jt opn b1grf instrm,A,,19.50,12.89,NA,12.89,,6.04,38.43,38.43,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82227282,,Arthrodesis symphysis pubis,A,,11.55,10.03,NA,10.03,,2.47,24.05,24.05,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82327284,,Arthrodesis hip joint,A,,24.43,13.38,NA,13.38,,5.19,43.00,43.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82427286,,Arthrd hip jt sbtrchc osteot,A,,24.54,14.57,NA,14.57,,5.22,44.33,44.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82527290,,Amputation of leg at hip,A,,23.94,14.88,NA,14.88,,5.09,43.91,43.91,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631